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Hydromyelia associated with arrested hydrocephalus.

D M Olson¹, J M Milstein

¹Department of Pediatrics, University of Washington, Seattle.

|April 1, 1988

Summary

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Spontaneously arrested hydrocephalus can lead to hydrosyringomyelia and increased intracranial pressure, even years later. Prompt ventriculoperitoneal shunt replacement effectively resolved these symptoms in a teenage patient.

Area of Science:

Neurology
Neurosurgery
Pediatric Neurology

Background:

Hydrocephalus is a condition characterized by excess cerebrospinal fluid in the brain.
Spontaneously arrested hydrocephalus can remain asymptomatic for years.
Hydrosyringomyelia is a rare neurological condition involving fluid-filled cavities within the spinal cord.

Observation:

A 16-year-old male with a 9-year history of spontaneously arrested hydrocephalus presented with new symptoms.
The patient experienced hydrosyringomyelia and increased intracranial pressure after minor head trauma.
Symptoms included headache and neurological deficits.

Findings:

The patient's hydrosyringomyelia and increased intracranial pressure were diagnosed via imaging studies.

Related Experiment Videos

Ventriculoperitoneal shunt replacement was performed to manage the increased intracranial pressure.

Complete resolution of symptoms was observed post-surgery.

Implications:

This case highlights that hydrosyringomyelia can manifest years after hydrocephalus has apparently arrested.
Head trauma may act as a trigger for symptom onset in such cases.
Early diagnosis and surgical intervention, such as shunt replacement, are crucial for favorable outcomes in pediatric hydrocephalus and related complications.